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Little is known of Alma's past but that many years ago, she was in a relationship with Peter Turner. They were due to get married, but Peter has not yet arrived. Alma is in denial, still waiting for him to return to Coot's Chapel, where they were to supposedly get married.

Alma has a resemblance to "Miss Havisham," an old woman in the Charles Dickens story "Great Expectations" who has not left her house or changed out of her wedding dress since she was stood up on her wedding day years ago.

In Undead Nightmare her grave states that she died in 1911, but her stranger mission can also be done in 1914, when playing as Jack Marston. This could signify that Alma was actually already deceased when she is first encountered by John Marston and would also explain why she claims she can't leave the church but mysteriously vanishes after Peter's grave is discovered.

During a Missing Persons side mission, she can sometimes be seen either where the player finds a missing person from Fort Mercer when they return.

After downloading Undead Nightmare, Alma Horlick's grave can be found in Coot's Chapel in the main storyline.

A woman with her character model can be seen waiting for the train in Benedict Point.

In Undead Nightmare, directly after she says "This was meant to be my perfect day!", a high pitched shriek can be heard. This occurs on both platforms (Xbox 360 and PS3) and in the Game of the Year Edition.